Care planning at home: a way to increase the influence of older people?

Berglund, Heléne; Dunér, Anna; Blomberg, Staffan; Kjellgren, Karin

doi:10.5334/ijic.817

Cited by 29 publications

(37 citation statements)

References 43 publications

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“…In the study by Berglund et al. (), the professionals initiated most of the conversation during care planning and concerns brought by the older people that fell outside the predefined agenda were not completed; the professionals controlled the discussion and proposed solutions, which align with the findings in this study.…”

Section: Discussionsupporting

confidence: 72%

“…This concurs with findings by Efraimsson, Rasmussen, Gilje, and Sandman () regarding professional carers dominating the conversation and the patient experiencing a feeling of being treated as an object. Berglund, Dunr, Blomberg, and Kjellgren () found that the location for the care‐planning conference, whether it took place in the patient's home or in the hospital, had no impact on the patient's ability to influence the decision‐making process. The organizational processes seem to be built into the care‐planning system.…”

Section: Discussionmentioning

confidence: 99%

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The care‐planning conference: Exploring aspects of person‐centred interactions

et al. 2018

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AimThe aim of this study was to describe the care‐planning conference from the participants' and researchers' perspectives, focusing on exploring aspects of person‐centred interactions.DesignA single‐instrumental, qualitative case study design was used describing a care‐planning conference taking place in the home of an older woman and her daughter.MethodsData collection consisted of observation and digital recording of the care‐planning conference and individual interviews with all the participants before and after the conference. Data were analysed in several phases: first, a narrative description followed by a general description and, thereafter, qualitative content analysis.ResultsThe findings revealed that the care‐planning conference conducted had no clear purpose and did not fulfil all parts of the planning process. Three themes emerged related to aspects of person‐centred interactions. The theme “expectations meet reality” showed different expectations, and participants could not really connect during the conference. The theme “navigate without a map” revealed health professionals' lack of knowledge about the care‐planning process. The theme “lose the forest for the trees” described that the conference was conducted only as part of the health professionals' duties. Management and healthcare professionals cannot automatically assume that they are delivering person‐centred care. Healthcare professionals need to be sensitive to the context, use the knowledge and tools available and continuously evaluate and reassess the work carried out.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

The care‐planning conference: Exploring aspects of person‐centred interactions

et al. 2018

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“…, Berglund et al . ). Five questions were asked concerning users' participation in planning of and influence over how and when the work is conducted.…”

Section: Methodsmentioning

confidence: 97%

Understanding eldercare users' views on quality of care and strategies for dealing with problems in Swedish home help services

Westerberg

Hjelte

Josefsson

2016

Health Soc Care Community

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The aim of the present study was to gain a deeper understanding of eldercare users' strategies for dealing with problems in the quality of care and care satisfaction in relation to home help services. Based on earlier research and evaluations, it was assumed that users would express satisfaction and gratitude, and also be unwilling to complain. The specific research questions were: (i) What, if any, quality of care problems do the users mention? (ii) How do the users explain the reasons for these problems? and (iii) What strategies do the users employ to deal with these problems? A total of 35 interviews were conducted in November 2013 with 15 men and 20 women (66-92 years). The data were analysed using thematic and qualitative content analysis. The results showed that almost all users expressed overall satisfaction with their care. However, all but one also mentioned problems. The users stated very clearly and explicitly the reasons for these problems, and in most cases, they referred to the work conditions, work organisation and lack of other resources in the eldercare organisation. Two strategies were commonly used to deal with these problems: trivialisation and adaptation. A third strategy was expressed dissatisfaction, where the problem led to actions or plans to take action. One interpretation of the findings is that what is actually measured in official quality assessments and follow-ups may be care users' understanding of the work conditions and work organisation of eldercare. The understanding attitude may prevent care users from complaining because it lowers their expectations.

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“…However, it has been argued that participants' focus on common municipal goals to unite against outside pressure may hamper collaboration with professionals in other agencies (Payne, 2000). Furthermore, interprofessional collaboration, especially in teams, may endanger the influence of the care recipients (Berglund et al, 2012;Payne, 2000;Wolmesjö 2005;. This suggests that the professionals involved in collaboration may "forget" the care recipients' own view as they focus entirely on issues of professional and organisational accountability.…”

Section: Discussionmentioning

confidence: 99%